{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T08:21:03Z","timestamp":1791534063730,"version":"4.3.4"},"reference-count":77,"publisher":"Public Library of Science (PLoS)","issue":"8","license":[{"start":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T00:00:00Z","timestamp":1754870400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:p>Sub-Saharan Africa is faced with triple challenges of high vulnerability to climate change impacts, high levels of inequality, and poor sexual and reproductive health and rights (SRHR) outcomes. Climate change impacts can worsen the SRHR situation for high-risk groups such as women, children, adolescent girls, and people living with Human Immunodeficiency Virus (HIV). This scoping review examined interventions addressing the impacts of climate change on SRHR in the region to identify barriers to and facilitators of effective integration. The review followed Arksey and O\u2019Malley\u2019s framework for scoping reviews. Data search was conducted in peer-reviewed journal databases and from grey literature on the official websites of selected organizations. Data charting was conducted using the Population, Intervention, Comparator, Outcome tool in Covidence. There is limited evidence on interventions at the intersection of climate change and SRHR, with seven (7) documents included in the review. Maternal and Child Health, HIV prevention, and a combination of maternal and child health and family planning were the SRHR components addressed. Other components like Gender-based violence, harmful practices, and abortion care do not have targeted interventions. A siloed approach to SRHR and climate change programming impedes intervention integration. Documented interventions are implicit about climate risks, focus on impact pathways, and do not directly target SRHR. There are no interventions targeting vulnerable and marginalized groups. Limited policy integration, financial constraints, and poor SRHR recognition deter intervention integration. Effective and equitable integration requires that population growth impacts and SRHR issues be recognized and deliberate investments (research, policies, programs, interventions, and financing) put in place to address critical SRHR gaps and climate vulnerabilities to enhance resilience.<\/jats:p>","DOI":"10.1371\/journal.pone.0329201","type":"journal-article","created":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T17:23:36Z","timestamp":1754933016000},"page":"e0329201","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":6,"title":["Interventions addressing impacts of climate change on sexual and reproductive health and rights in sub-Saharan Africa: A scoping review"],"prefix":"10.1371","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3302-8387","authenticated-orcid":true,"given":"Jacinter A.","family":"Amadi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Odwe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francis","family":"Obare","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2100-4943","authenticated-orcid":true,"given":"Betsy","family":"Sambai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3013-2851","authenticated-orcid":true,"given":"Beth","family":"Kangwana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2025,8,11]]},"reference":[{"key":"pone.0329201.ref001","volume-title":"Sexual and reproductive health factsheet: WHO African region","author":"WHO","year":"2023"},{"key":"pone.0329201.ref002","volume-title":"Trends in maternal mortality estimates 2000 to 2023: Estimates by WHO, UNICEF, UNFPA, World Bank Group and UNDESA\/Population Division","author":"WHO","year":"2025"},{"key":"pone.0329201.ref003","volume-title":"Levels & Trends in Child Mortality: Report 2023, Estimates Developed by the United Nations Inter-agency Group for Child Mortality Estimation","author":"United Nations Inter-agency Group for Child Mortality Estimation UNIGME","year":"2024"},{"key":"pone.0329201.ref004","volume-title":"HIV statistics, globally and by WHO region","author":"WHO","year":"2024"},{"key":"pone.0329201.ref005","volume-title":"World Family Planning 2022: Meeting the Changing Needs for Family Planning: Contraceptive Use by Age and Method","author":"United Nations Department of Economic and Social Affairs, Population Division","year":"2022"},{"key":"pone.0329201.ref006","volume-title":"Violence Against Women Prevalence Estimates, 2018: Global, Regional and National Prevalence Estimates for Intimate Partner Violence Against Women and Global and Regional Prevalence Estimates for Non-Partner Sexual Violence Against Women","author":"WHO","year":"2021"},{"key":"pone.0329201.ref007","doi-asserted-by":"crossref","first-page":"607","DOI":"10.2147\/RMHP.S366759","article-title":"Achieving universal health coverage in low- and middle-income countries: challenges for policy post-pandemic and beyond","volume":"16","author":"PB Kodali","year":"2023","journal-title":"Risk Manag Healthc Policy"},{"issue":"10140","key":"pone.0329201.ref008","doi-asserted-by":"crossref","first-page":"2642","DOI":"10.1016\/S0140-6736(18)30293-9","article-title":"Accelerate progress-sexual and reproductive health and rights for all: report of the Guttmacher-Lancet Commission","volume":"391","author":"AM Starrs","year":"2018","journal-title":"Lancet"},{"key":"pone.0329201.ref009","unstructured":"IPCC. 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